青光眼(yan)病人(ren)的治療(liao)有賴(lai)于準確的診(zhen)斷。青光眼(yan)病人(ren)的診(zhen)斷與其他(ta)疾(ji)病一樣(yang)，根(gen)據病史、臨(lin)床表現及檢查(cha)結果進(jin)行(xing)綜(zong)合分(fen)析。

對可疑患者，首先應測量(liang)眼(yan)(yan)(yan)(yan)(yan)(yan)壓(ya)(ya)。眼(yan)(yan)(yan)(yan)(yan)(yan)壓(ya)(ya)大(da)于(yu)(yu)(yu)3.20kPa（24mmHg）為(wei)(wei)病(bing)(bing)理(li)(li)性(xing)(xing)高眼(yan)(yan)(yan)(yan)(yan)(yan)壓(ya)(ya)，但一次(ci)眼(yan)(yan)(yan)(yan)(yan)(yan)壓(ya)(ya)偏高不(bu)(bu)能(neng)診斷青(qing)(qing)光(guang)眼(yan)(yan)(yan)(yan)(yan)(yan)，而一次(ci)眼(yan)(yan)(yan)(yan)(yan)(yan)壓(ya)(ya)正常也不(bu)(bu)能(neng)排(pai)除青(qing)(qing)光(guang)眼(yan)(yan)(yan)(yan)(yan)(yan)。因為(wei)(wei)眼(yan)(yan)(yan)(yan)(yan)(yan)壓(ya)(ya)在一日(ri)內呈周期性(xing)(xing)波動(dong)。日(ri)眼(yan)(yan)(yan)(yan)(yan)(yan)壓(ya)(ya)波動(dong)大(da)于(yu)(yu)(yu)1.07kPa（8mmHg）為(wei)(wei)病(bing)(bing)理(li)(li)性(xing)(xing)眼(yan)(yan)(yan)(yan)(yan)(yan)壓(ya)(ya)。正常人(ren)雙眼(yan)(yan)(yan)(yan)(yan)(yan)眼(yan)(yan)(yan)(yan)(yan)(yan)壓(ya)(ya)接(jie)近，如雙眼(yan)(yan)(yan)(yan)(yan)(yan)壓(ya)(ya)差大(da)于(yu)(yu)(yu)0.67kPa（5mmHg）也為(wei)(wei)病(bing)(bing)理(li)(li)性(xing)(xing)眼(yan)(yan)(yan)(yan)(yan)(yan)壓(ya)(ya)。其(qi)次(ci)應檢查(cha)眼(yan)(yan)(yan)(yan)(yan)(yan)底(di)，觀(guan)察(cha)視(shi)(shi)(shi)盤(pan)改(gai)變，青(qing)(qing)光(guang)眼(yan)(yan)(yan)(yan)(yan)(yan)的(de)(de)視(shi)(shi)(shi)盤(pan)改(gai)變具有一定的(de)(de)特殊性(xing)(xing)，有重要的(de)(de)臨床價值。常表(biao)(biao)現(xian)(xian)為(wei)(wei)病(bing)(bing)理(li)(li)性(xing)(xing)陷(xian)凹，目前普遍(bian)采用(yong)陷(xian)凹與視(shi)(shi)(shi)盤(pan)直(zhi)徑的(de)(de)比值（C/D）表(biao)(biao)示(shi)陷(xian)凹大(da)小。C/D大(da)于(yu)(yu)(yu)0.6或雙眼(yan)(yan)(yan)(yan)(yan)(yan)C/D差大(da)于(yu)(yu)(yu)0.2為(wei)(wei)異常；視(shi)(shi)(shi)盤(pan)沿(yan)變薄(bo)，常伴有視(shi)(shi)(shi)盤(pan)沿(yan)的(de)(de)寬(kuan)窄不(bu)(bu)均和切跡，表(biao)(biao)示(shi)視(shi)(shi)(shi)盤(pan)沿(yan)視(shi)(shi)(shi)神(shen)經纖維數量(liang)減少(shao)；視(shi)(shi)(shi)盤(pan)血(xue)(xue)管(guan)改(gai)變，表(biao)(biao)現(xian)(xian)為(wei)(wei)視(shi)(shi)(shi)盤(pan)邊緣(yuan)出血(xue)(xue)，血(xue)(xue)管(guan)架空，視(shi)(shi)(shi)盤(pan)血(xue)(xue)管(guan)鼻側(ce)移位和視(shi)(shi)(shi)網膜(mo)(mo)中(zhong)央動(dong)脈搏(bo)動(dong)。此外，眼(yan)(yan)(yan)(yan)(yan)(yan)底(di)檢查(cha)可觀(guan)察(cha)視(shi)(shi)(shi)網膜(mo)(mo)神(shen)經纖維層缺損，由(you)于(yu)(yu)(yu)它可出現(xian)(xian)在視(shi)(shi)(shi)野缺損前，被認(ren)為(wei)(wei)是青(qing)(qing)光(guang)眼(yan)(yan)(yan)(yan)(yan)(yan)早期診斷指(zhi)征之一。

視(shi)野(ye)檢(jian)查對青光(guang)眼的診斷有重要(yao)價值(zhi)。因為它代表(biao)了視(shi)神經的損傷。臨床常見視(shi)野(ye)缺損類型(xing)有：視(shi)閾值(zhi)普遍(bian)降低、弓形(xing)缺損、鼻側(ce)(ce)(ce)階梯(ti)、垂直階梯(ti)、顳(nie)側(ce)(ce)(ce)扇形(xing)缺損、中心(xin)及(ji)顳(nie)側(ce)(ce)(ce)島(dao)狀(zhuang)視(shi)野(ye)。

通過上述檢(jian)查(cha)，我們可以診(zhen)(zhen)斷青(qing)(qing)光(guang)眼(yan)(yan)，但在開(kai)始治療前還應確定(ding)青(qing)(qing)光(guang)眼(yan)(yan)的類型(xing)。首(shou)先(xian)檢(jian)查(cha)前房(fang)(fang)角，房(fang)(fang)角開(kai)放(fang)者為(wei)開(kai)角型(xing)青(qing)(qing)光(guang)眼(yan)(yan)，反(fan)(fan)之則(ze)為(wei)閉(bi)角型(xing)青(qing)(qing)光(guang)眼(yan)(yan)。通過房(fang)(fang)角檢(jian)查(cha)，青(qing)(qing)光(guang)眼(yan)(yan)分類診(zhen)(zhen)斷仍(reng)有(you)困(kun)難(nan)時(shi)，可查(cha)房(fang)(fang)水流暢(chang)系(xi)數（C值）。C值小于(yu)0.1為(wei)病(bing)理性，壓(ya)暢(chang)比（Po/C）大于(yu)150為(wei)病(bing)理性，主(zhu)要(yao)見于(yu)開(kai)角型(xing)青(qing)(qing)光(guang)眼(yan)(yan)。但需注意，閉(bi)角型(xing)青(qing)(qing)光(guang)眼(yan)(yan)反(fan)(fan)復發作后C值及壓(ya)暢(chang)比也(ye)可異常。另外(wai)我們對一些疑(yi)似(si)青(qing)(qing)光(guang)眼(yan)(yan)可選一些激發試(shi)驗，以輔助(zhu)診(zhen)(zhen)斷。

[特色中醫療法]我康(kang)復中(zhong)(zhong)心長期從事青光(guang)(guang)(guang)眼(yan)(yan)的(de)(de)臨(lin)床治療與研(yan)究，深(shen)入的(de)(de)研(yan)究各種組(zu)方(fang)、驗方(fang)，充(chong)分發揮(hui)祖國中(zhong)(zhong)醫(yi)學(xue)醫(yi)療優勢(shi)，以五輪八綱學(xue)說為(wei)中(zhong)(zhong)心，創立了“五輪康(kang)復明”系列化(hua)方(fang)劑(ji)。是專為(wei)青光(guang)(guang)(guang)眼(yan)(yan)等眼(yan)(yan)壓(ya)相(xiang)對(dui)(dui)或(huo)絕對(dui)(dui)性升(sheng)高(gao)、視力(li)下降、眼(yan)(yan)脹、眼(yan)(yan)痛，及由眼(yan)(yan)部疾病引(yin)起(qi)的(de)(de)頭痛、惡心等癥而設的(de)(de)專用(yong)方(fang)，對(dui)(dui)各種原因引(yin)起(qi)的(de)(de)眼(yan)(yan)壓(ya)相(xiang)對(dui)(dui)或(huo)絕對(dui)(dui)性升(sheng)高(gao)、視力(li)下降、眼(yan)(yan)脹、眼(yan)(yan)痛等癥有良好的(de)(de)臨(lin)床療效(xiao)；對(dui)(dui)青光(guang)(guang)(guang)眼(yan)(yan)引(yin)起(qi)的(de)(de)高(gao)眼(yan)(yan)壓(ya)穩定性強；對(dui)(dui)抽痛作(zuo)用(yong)快；同(tong)時，可改善(shan)眼(yan)(yan)內房水流(liu)通，迅速減縮眼(yan)(yan)內容(rong)積，持續降低眼(yan)(yan)壓(ya)，營養(yang)視神經(jing)， [詳細介紹...]

[特色中醫療效]本專家(jia)組采用純中(zhong)藥“五輪康復明”系列化方(fang)劑治療青光眼1805例，總有效(xiao)率(lv)99.76%，治愈率(lv)90.8%。

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